Excellis Consulting And Clinical Services, Llc | |
10632 Little Patuxent Pkwy Suite 310 Columbia MD 21044-3273 | |
(240) 547-9462 | |
Not Available |
Full Name | Excellis Consulting And Clinical Services, Llc |
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Speciality | Counselor |
Location | 10632 Little Patuxent Pkwy, Columbia, Maryland |
Authorized Official Name and Position | Michael Patrick Malone (CEO) |
Authorized Official Contact | 2405479462 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Excellis Consulting And Clinical Services, Llc 315 Laurel Ave Laurel MD 20707-4319 Ph: (240) 547-9462 | Excellis Consulting And Clinical Services, Llc 10632 Little Patuxent Pkwy Suite 310 Columbia MD 21044-3273 Ph: (240) 547-9462 |
NPI Number | 1184042616 |
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Provider Enumeration Date | 04/02/2014 |
Last Update Date | 04/02/2014 |
Identifier | Type | State | Issuer |
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1184042616 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | LC2181 (Maryland) | Primary |
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